Newall Anthony T, Scuffham Paul A
The School of Public Health and Community Medicine, University of New South Wales, NSW 2052, Australia.
Vaccine. 2008 Dec 9;26(52):6818-23. doi: 10.1016/j.vaccine.2008.09.086. Epub 2008 Oct 20.
The disease burden attributable to influenza is difficult to determine, as influenza infections are rarely virologically confirmed or recorded. Estimating the influenza-related disease burden is a prerequisite to estimate the costs. Age-specific regression models were used to estimate the number of excess hospitalisations attributable to influenza from influenza and respiratory syncytial virus surveillance data. The number of general practitioner consultations for influenza/influenza-like illness was estimated from a continuous randomly sampled national study of general practice activity. Utilising the associated costs for each of these events, a cost-of-illness study was developed from the perspective of the Australian healthcare system. There was an annual average of 310,000 general practitioner consultations for influenza/influenza-like illness and 18,400 hospitalisations attributable to influenza over the period of review. The estimated cost to the Australian healthcare system for these events was $115 million annually. Influenza-related disease places a significant financial burden on the Australian healthcare system.
由于流感感染很少通过病毒学确诊或记录,因此很难确定流感造成的疾病负担。估计与流感相关的疾病负担是估算成本的前提。利用年龄特异性回归模型,根据流感和呼吸道合胞病毒监测数据估算流感导致的额外住院人数。通过一项对全科医疗活动进行连续随机抽样的全国性研究,估算了因流感/流感样疾病而进行的全科医生诊疗次数。利用这些事件各自的相关成本,从澳大利亚医疗保健系统的角度开展了一项疾病成本研究。在审查期间,每年因流感/流感样疾病进行的全科医生诊疗平均有31万次,因流感导致的住院有18400例。这些事件给澳大利亚医疗保健系统造成的估计成本为每年1.15亿澳元。与流感相关的疾病给澳大利亚医疗保健系统带来了巨大的经济负担。